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To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity, lumbar ROM, and CSA of multifidus muscle.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Sham Comparator | The participants will receive conventional treatment in the form of TENS and Ultrasound. |
|
| Intervention 1 | Experimental | The participants will receive "open chain segmental control exercises" plus conventional treatment in the form of TENS and Ultrasound. |
|
| Intervention 2 | Experimental | The participants will receive "closed chain segmental control exercises" plus conventional treatment in the form of TENS and Ultrasound. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional treatment | Other | Application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cross sectional area of multifidus muscle | Cross sectional area of multifidus muscle | Pre and Post measurement (12 weeks) |
| Pain intensity | Measured by VAS (from 0 to 10; 0 means no pain and 10 means worst pain) | Pre and Post measurement (12 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| ROM of lumbar spine | Measuring ROM of lumbar spine | Pre and Post measurement (12 weeks) |
| Functional ability of lumbar spine | Questionnaire for measuring lumbar activities (lower score means better and higher score means worse) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Haytham M Elhafez, PhD | Contact | +201001909630 | elhafez@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Haytham M Elhafez, PhD | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy | Recruiting | Giza | Dokki | 12612 | Egypt |
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Group will receive ultrasound and TENS as conventional treatment
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Group will receive open chain segmental control exercises versus closed chain segmental control exercises
| Open chain segmental control | Other | Application of "open chain segmental control exercises" As well as, application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain. |
|
| Closed chain segmental control | Other | Application of "closed chain segmental control exercises" As well as, application of ultrasound and transcutaneous electrical nerve stimulation "TENS" for mechanical low back pain. |
|
| Pre and Post measurement (12 weeks) |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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